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Permit C MASTER PERMIT Iii CITY OF TIGARD y 4! '' COMMUNITY DEVELOPMENT Permit #: MST2011 -00052 TIGAR.) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/07/2011 Parcel: 2S109AB18200 Jurisdiction: TIGARD Site address: 14160 SW ALPINE CREST WAY Subdivision: HIGHLAND HILLS Lot: 11 Project: Highland Hills, Lot 11 Project Description: New SF 7/13/2011: Reprinted for continuous loop fire suppression system. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1430 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 1775 sf Garage. 699 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3205 sf Value: $360,923.24 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals. 0 Lavatories. 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain. 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 0 Vents. 0 Woodstoves: 0 Gas Outlets: 5 Fu m> =100 K: 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp. 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 7 201 -400 amp: 0 201 -400 amp: 0 W/O Svc /Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp. 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description' Ecompasing Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 3205 Owner: Contractor: MISSION HOMES NW, LLC MISSION HOMES NORTHWEST LLC Required Items and Reports (Conditions) PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503 - 681 - 4444 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE. 503 - 381 -3753 PHONE' 503- 381 -3753 FAX: 503 - 214 -8524 Total Fees: $19,421.24 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 0 R 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.234 Issued By: —'e--- Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspectio This permit card shall be kept in a conspicuous place on the job site until ompletion of the project. Approved plans are required on the job site at the time of each inspection. • • This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard Building Division TIGARD TRANSMITTAL LETTER TO: ./ fL DA iii ` E r ED DEPT: BUILDING DIVI 011 .1U p CM p � liGAAD FROM: 6--a-- ,,,2,,,„ ���1� p1 " D lels rON COMPANY: pp --'\\,, //II PHONE: 50 5 g 1- .3 7 5- 3 cyk_....0-1/71; RE: ao (1 J [ I 1pd I' 0 1 • I .Zs-e (Site Address) 1 ' ermit ' um. er �' / ` ' ,1f r ame or su. . ivision name ano of numf- r ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Oth (explain): 1 REMARKS: IAkI R , >r 0_ , FOR oFficE USE ONLY Routed to Permi echnician: Date: --- 81 / Initial: - Fees Due: es ❑ No Fee Description: Amount uue: FLA-0 'g-\/t _e_i) /(-2---, ' 9 ----- ' C $ $ Special Instructions: _ Reprint Permit (per PE): [� Yes ❑ No Done 2/0/ Applicant Notified: j7 jt j {S„ Date: 7 /)/h Initials:'- ) I: \Building\ Forms \TransmittalLetter - Revisions.doc 02/08/2011 II CITY OF TIGARD MASTER PERMIT 2 '. COMMUNITY DEVELOPMENT Permit #: MST2011 -00052 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/07/2011 Parcel: 2S109AB18200 Jurisdiction: TIGARD Site address: 14160 SW ALPINE CREST WAY Subdivision: HIGHLAND HILLS Lot: 11 Project: Highland Hills, Lot 11 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories' 2 Bedrooms: 4 First: 1430 sf Basement: 0 sf Left. 5 Parking Spaces: 0 Height: 34 Bathrooms: 3 Second: 1775 sf Garage: 699 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors Yes Total: 3205 sf Value• $360,923.24 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach' 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers. 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell- Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods 1 Other Units: 0 Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn > =100K: 1 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 7 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 . 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing. Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R -3 3205 Owner: Contractor: MISSION HOMES NW, LLC MISSION HOMES NORTHWEST LLC Required Items and Reports (Conditions) PO BOX 1689 PO BOX 1689 1 Ersn Cntrl 503 - 681 -4444 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503- 381 -3753 PHONE: 503- 381 -3753 FAX: 503 - 214 -8524 Total Fees: $19,231.29 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in rda - , ith approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ENTION: Oregon a r =•uires you to follow the rules adopted by the Oregon Utility Notification Center.' Those rules are set forth in OAR 952 -0 1 -0010 through OAR 901 -$ I 0. You may obtain ( aa copy of the rules or direct questions to OUNC by calling 503.232 1987 or 1.800.332 Issu d By: / % / //(,4�/l. Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection date This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. building Permit Application RECEIVED Residential APR 1 2 2011 FOR OFFICE USE ONLY �`Ji49 // 5� City of Tigard CITY OF TIGR D :. / // I / Permit No.. Rece ived Ilq I a 13125 SW Hall Blvd., Tigard, OR 97223 Plan vi / � � Phone: 503.718.2439 Fax: 503.598.1960 BUILDING DIV P lan Re DateB : 4 5 4. l l Other Permit: 2_ �J I'lGARD Inspection Line: 503.639.4175 Date Read By: Juris: 0 See Page 2 for . Internet: www.tigard or.gov NotifiA od: ea //Mtn Supplemental Information Agri it . '': Tti P tOF WORKS . - a t ' e , '-'44) t' ' Ili .DATA ,I' AND :v 2=FAMILYiDWELLIING ® New construction ❑ Demolition Permit fee are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all El Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the '' � °� "' " '" work indicated on thi a lication. F , , '.` y i , CATEGORY ' OI CONSTRUCTION it L _ ; ' V' p "� Valuation: " ' '3t / 23 , ® l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building El Multi-family Number of bedrooms: 4 ❑ Master builder ['Other: Number of bathrooms: 3 JOB SITE INFORMATION , m. . AND''LOCATION -, Total number of floors: 2 _- , <.__ ',,:t.,. t _r�, .. ,/ ., n .,z. � . .w _ h , _w. . _,.. .r'' " Job site address: 14160 SW ALPINE CREST WAY New dwelling area: 3205 square feet City /State /ZIP: TIGARD /OR/97224 Garage /carport area: 699 square feet Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Covered porch area: a , square feet I Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134 Deck area: 300 square feet (kW Other structure area: .. square feet 34_ r REQUIRED DATA ',COMM USE CHECKLIST 7 Subdivision: HIGHLAND HILLS I Lot no.: 11 Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all .x equipment, materials, labor, overhead, and the profit for the ', I ` - n. E DESCRIPTION OF'�WOR t � ,, ,, 2 ,,. fi : a; .'' work indicated on this application. NEW SINGLE FAMILY Valuation: $ Existing building area: square feet ' New building area: square feet P1 OPERTY` OWNERS "- ' y , II TENANTA. pg Number of stories: Name: MISSOIN HOMES NW Type of construction: Address: PO BOX 1689 Occupancy groups: City /State /ZIP: LAKE OSWEGO /OR/97035 Existing: Phone: (503)381 -3753 Fax: (503)214 -8524 New: ®,- APPL t ,t _ ' ` . ®ONT A'C SO -P , N s B PERMIT'EEES* - x ��� °� � ° � ,'�.. �. _ . ` � .. . ,� ":� ` „� � �. � , „,,3''..' .. �., �„ . 3 _,� . . � � z r - 'Please:kif to fee Ichedule), :.I -�� mob - Business name: MISSION HOMES NW Structural plan review fee (or deposit): Contact name: JOSH KELSO FLS plan review fee (if applicable): Address: PO BOX 1689 City /State /ZIP: LAKE OSWEGO /OR/97035 Total fees due upon application: C16 Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Amount received: - E -mail: JOSHKELS03 @GMAIL.COM PHOTOVOLTAICSOLARPANELSYSTEM FEES I : °- „ _m 4, 1 Commerc' and residential prescriptive installatio if 1 :. , - , ” _ ', ,CONTRACT � , "° e ' °- : ,- roof -top nrioatc,d Photo Voltaic Solar Panel em. Business name: MISSION HOMES NW Submit two (2) sc�ofroof plan with ection details and fire department ac = s, alo _ . ith the 2010 Oregon Address: PO BOX 1689 Solar Installation Specia ! ..de checklist. City /State /ZIP: LAKE OSWEGO/OR/97035 Permit Fee ' udes plan -view nd administrative fes : $180.00 Phone: (503) 381 -3753 I Fax: (503) 214 -8524 ate surcharge (12% of permit fee): $21.60 CCB lic.: 186849 i (21k Total fee due upon application: 1.60 j Authorized signature: � This permit application expires if a permit is not obtaine -�� _,� - - within 180 days after it has been accepted as complete. Print name: JOSH KELSO Date: 3/17/2011 * Fee methodology set by Tri- County Building Industry Service Board. I:\ Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB) Q3/1 13:12 5034636863 l rrr ELECTRIC #2130 P.002/002 ,rIU. II, LVIt IV • TL•,r' - Irv. I I TV I. L - + lecf�r3ca erm A p )I f caE 7inn LV • FOR cart I.: rl.‘I',l: i N1,\ City of Tigard APR 12 2011 t tom i PcraI No.: // r of - 'G 13125 SW Nan Blvd, Tigard, OR 97222. w , . • - icl . A o° o • 43 rev: 5 03.5981960 01 OF TIGABD °nt ' MaPenni,: ,w,�9.6# -aV5- , tt,A„, Pa i 63 * See Pa7 Mane �www,tigmd-or,gov BUILDING DIVISI• Su 6o pplementallanrmtitian TYPE OF WORK .. , . , .:,;.t.. : _ W . ('Newcanstntotion Q Addition/alteration/replacement Patel deck all diet ripply (tubed i lien orphan w ucheckedbelow): { Demolition j Other; u 0 %Oetp ra d),m aa b+ 400ena CI Building y ards srsas _ nfi the svaw aka eurNat ltlioas mad 1 , , ;1, 0,? i { q : ` weeds 10,000 amps et 1S0 jolts or Q Moab; buil4igtn. • dwelling Commercial/Industrial 0 Accessary build less w . « exceeds tells em. Cj Whit ralal.wse aedc ■karat 1 - and 2 & © 4 � *raps thrall ollwr imtlaWtdw. bulldtags. 0 Multi -family +y ❑ Master builder 0 Other: Ca Fire pump.. Q emanation of75 KVAor ' ' 3 0D Sid' 1NFORbMATtON AND LOCATION O 14norsonoy swan- larger e.p+rauty derived quail. C] Addition dam armor toad or 1:1" A'y'r, , 1-2_ "t-3 mow ot mom aceupancee Job go.: [Job sitc address: i I (i SvV A{- Plnl�, (t 5T p Sixarmare rsesiasmalunits. C1 gam lTobias pill's. City/State/ZIP: T 99- Z Z . / CI Health-cam liana, l J Supplyeeinga tar awe than - 1 �' ^ � / g) _ , Cl iifardoes Wagons. 600 volts nominal. Suite/bldg./apt. no.: J Project name: 6 ,1 0C., ∎) P 0 Service ar fader amps w mnro. Cross Street/directions to Job elle: , . .TEE mom Effirm=i 4 New residential single- or aurlti -family dwelling unit. Ineludes attached garage. ,ti Subdivision: “t,6, b1 c, P -W1<5 1 Lot no.: 1 1,400sc. a. or lei �" / 1 16854 1 ' ; ,` -,,, - 4 t Tax map /parcel no.: Pd. 0441 300 so, tt, ar portion '7 53.92 i 1.1rniteei energy, iesideatlal , 75.00 76. t0 2 _ DTSt .R1PTtON OF WOW ' tintited energy, multidiuuiiy 7540 2 NEW SINGLE FAMILY residential (with above an. h.) - - -- Services or feeders installationolteratian, and/or relocation 200 amps or kss .00,70 1 2 NI PROPERTY OWNER 0 TENANT ' 201 .rata 10 400 amps - 133.56 2 Name; MIS9t{Q1�1 1F)Olt�1t3' NW" """ 401 amps a600emps 20034 2 601 /Imps to 1,000 amps 201.04 2 Address: PO BOX 1689 Oren 1,000 amps o r y l f 552.26 2 City /Sinte/Z1P: LAKE OSWEGOIOR/97035 01n u nrye or rcede►s ■inrtrltadan, alteration, and/o Phone; (503)381-3753 Pmt: (503)2144524 200 amps or leas 59.96 1 Owner installation: This installadan Is being made on property Thal I own which is not tot amps 0400 amps 12S.08 a intended for sale, lease, rent, or exchange, according to OR riraneh S 447, 449, 670, and 701. alt min e l peutt amps id 2 eb eiraulS — nc�v f aueration, or extension, per panel Owner signature: Date: A. Fee for brunch tireulls+dlrh ' ■ APPLICANY' 0 CONTAt:1' PPIYi60N above service or tender Ste, 7,42 2 each branch circuit Business name: MISSION HOMES NW B, lit= rot irrogoh aitallts wttlmrrt service ar feeder to, firs 56.18 2 Contact namo: JOSH KELSO Enrich circuit _ - - Pitt tittd'1 Numb circuit 1 7.42 I ( 2 Address: PO BOX 1689 M 0 a eons service or feeder no included) City/State/ZIP: LAKE OSWEGO/OR/9103S dwe�irg, Cervices and/or feede Bee man do feeder r 67.84 2 Phone: (503) 381-3733 I riot:: (503) 214 -0534 Reconnect only_ 67,84 2 67.84 2 e mail: JOSHKELSWtJGMA1IdICOM Sinprrut Ling 67.84 2 Sign or outline lighting CONTR ACTOR . ,^ Signal cltcuil(s) or limited•energy • Eusiness name: CONNECTIONS ELECTRIC a trait) txexlttarsioa Pa 2 2 , - _ Bach addltiabel i nspection over atlownble in any or the above Addreur 4675 PORTLAND RD NE RI 7 p 6 Addilionel inspection (t hr min) - 66,2S/ hr City/ State /ZIP: SALEM /OR/97305 ' . C)9.--40,30-3 Inrus pas hr min) 6613 hr lndtlsudalp�u(l NM 1111131111•01 Phone: (503)00-1914 Fax: (Mel) {j(�, 3 nspeGl ore • . no - • n III 90,OO/hr �... — 6 . - neon RCA s4 hr min CCD Lie.: 65444 Electrical t.lc.: 24.24$0 Supty. Lie.: ; (i,5 i~ r ia+r*rrarr.�t PEWIT' P — Subtotal: gr.../r.-- Suprv. Electrician signature, required: Plan review r - 396 of , • milt tee Print name Date: State surcharge (12e%ofpermit (cc). 6 7. •z �Cu :i� e� - r � - - TOTAL P N•t FEE: r, iJ Authorized signature' ��� I� parigil eppllealivn oxpirva If a portail is ail 4 tattled within lAP //- de after It bee been accepted as complete. Print Hama J o c k . K . (i S n I Date: • Number atkupooricru slimed per pa ne. t ule:WOermiirsae neliA7Raco 07ro1l10 440-161 .1T <11ro31C0Id/Wtie • Mechanical Permit ApplicatRECENED FOR OFFICE USE ONLY City of Tigard Received eceived Perntit No.: (Jj�J� d p `�' 13125 SW Hall Blvd., Tigard, OR 97223 APR 1 2 2011 Date/By: e', ��� Ili C Plan Review 00W Phone: 503.718.2439 Fax: 503.598.1960 Date/By. Other Permit: T[GARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: Inns: ® See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information BUILDING DIVISION , . ..�_ ; . �.. CIL .F � , T�PE3 WORK ' r COMNIER -EE *.,SCHEDUL�3-� USE CHECkLI ST ` , .. - , ". � Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. : EG R1 F J Value: $ ' fib_. ,„, ,4 `' Q ;9 °CONS . `-I`R ,...,'-'4, C TION .= ' _'' z , . . i. . a „ ;a,RESI EQ UIPM ENT / S3 S TE M' S �FEE S * , 4# , ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. I Total fi ` h `> Heating/cooling: i =.e:.a. -,c .. A :; J OB gS 1TE - 11VEORMAT[O „i`I A ND LOCATION Y a , .. 4: , Air conditioning �-..- Job site address: 14160 SW ALPINE CREST WAY (requires site plan showing placement) 1 46.75 42;75 City /State /ZIP: TIGARD /OR/97224 Furnace 100,000 BTU (ducts /vents) 1 46.75 lc Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: HIGHLAND HILLS Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134TH Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: HIGHLAND HILLS Lot no.: 11 Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: tom“ , ..1,` DESCR1PT70N. �. , . y r Water heater 1 23.32 2 .3� NEW SINGLE FAMILY Gas fireplace I 33.39 - ..-j. 3/ Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 „.`® � WNER ';'4 a . _ . � � , w ® TE - " 4 ”' Chimney /liner /flue /vent 23.32 �.. ' P ROPERTY 7 O , Other: 23.32 Name: MISSION HOMES NW Environmental exhaust and ventilation: Address: PO BOX 1689 Range hood /other kitchen equipment 1 33.39 r � j�. City /State /ZIP: LAKE OSWEGO /OR/97035 Clothes dryer exhaust 1 33.39 ?`{ Fax: 503 214 -8524 Single-duct compartments, rtm ents (bathrooms, rooms) s, Phone: (503)381-3753 ( ) toilet compartments, utility ro 5 23.32 ( (L.60 $ v . ® APPLICANT v :' " _ : - ' ,CONTACT PERSON `'' : ' # , Attic /crawlspace fans 23.32 Business name: MISSION HOMES NW Other: 23.32 Fuel piping: Contact name: JOSH KELSO $14.15 for first four; $4.03 for each additional Address: PO BOX 1689 Furnace, etc. 1 14.(<j Gas heat pump City /State /ZIP: LAKE OSWEGO/ OR/97035 Wall /suspended/unit heater Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Water heater I Fireplace 1 E-mail: JOSHKELSO3 @GMAIL.COM Range 1 ` - CON RACTOR 7 .... Barbecue l 4.O Business name: RITE -WAY HEATING & AIR Clothes dryer (gas) Other: Address: 33505 SW TUALATIN VALLEY HWY :: .g.% _` ':MECH,AN[CA'li.PERNHT,FEES* g e " ° . ' = ' City /State /ZIP: HILLSBORO /0R/97123 Subtotal 3 5, 17 Phone: (503) 693 -3161 Fax: ( ) Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lie.: 71242 State surcharge (12% of permit fee) Z, 1 - -. __ TOTAL PERMIT FEE 1, 3 8 Authorized signature: - -- � This permit application expires if a permit is not obtained within 180 / days after it has been accepted as complete. Print name: JOSH KELSO Date: 3 /lg / 2# t' * Fee methodology set by Tri- County Building Industry Service Board 1: \Building \ Permits \ MEC- PermitApp doc 09/09/10 44 -4617T (1 I /02/COMAVEB) Plumbing Permit ApplicatioaECEIVED Building Fixtures APR 1 2 201 FOR OFFICE .USE ONLY Received lig City of Tigard Date /By: IA ft / P ermit No 8 // ` ��d5� a 13125 SW Hall Blvd., Tigard, OR ; t OF TIGARD - Plan Revie :. Phone: 503.718.2439 Fax: 503. '• o SING DIVISION Date/13y: Other Permit No. junto/49C Prett2513 T I G A R D Inspection Line: 503.639.4175 Date Ready /By Juris: 0 See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information is u. CHE Y TY PE OF�WORK FEE - DULE ® New construction ❑ Demolition For special information use checklist Description I Qty. Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft. for each utility connection) ..' - ,-1 '° CATEGORYpOP CONSTRUCTION 1 aP S FR (1) bath 312.70 ® 1 - and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 SFR (3) bath 1 500.32 : jZ,,, ❑ Accessory building ❑ Multi - family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler (3205 sq. ft.) Page 2 r i A e JOB SITE INFORMATION ~•ANDt I. , ',,, Site utilities: Job site address: 14160 SW ALPINE CREST WAY Catch basin or area drain 18.76 Drywell, leach line, or trench drain 18.76 City /State /ZIP: TIGARD /OR/97224 Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: I Project name: HIGHLAND HILLS Manufactured home utilities 50.03 Cross street/directions to job site: BULL MOUNTAIN TO 133 TO 134TH Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: _ ) Page 2 Storm sewer (no. linear ft.: _ ) Page 2 Water service (no. linear ft.: _ ) Page 2 Subdivision: HIGHLAND HILLS Lot no.: 11 Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 Backwater valve 12.51 R ■ - , 6 >:. ' .� > _, `o DESCRIPTIQN :OF°* VORK .::.+: ` u,, ' .7:. - . tr Clothes washer 1 25.02 NEW SINGLE FAMILY Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors /sump 25.02 `, ; 10110 RT ,OWNER ( ❑ TENANT Expansion tank 12.51 Name: MISSION HOMES NW Fixture/sewer cap 25.02 Floor drain /floor sink/hub 25.02 Address: PO BOX 1689 Garbage disposal 1 25.02 City /State /ZIP: LAKE OSWEGO /OR/97035 Hose bib 2 25.02 Phone: (503)381 -3753 Fax: (503)214 -8524 Ice maker 1 12.51 g = - , , 4 - ® APPLICAN'I $d . ' ❑CONTACT PERSON " '. Interceptor /grease trap 25.02 Business name: MISSION HOMES NW Medical gas (value: $ ) Page 2 Primer 12.51 Contact name: JOSH KELSO Roof drain (commercial) 12.51 Address: PO BOX 1689 Sink/basin/lavatory 7 25.02 City /State /ZIP: LAKE OSWEGO /OR/97035 Solar units (potable water) 62.54 Phone: (503) 381 -3753 Fax: : (503) 214 -8524 Tub /shower /shower pan 4 12.51 E - mail: JOSHKELS03 @GMAIL.COM Urinal 25.02 ;s. 'w , , • " _.• - •yz.=, _ 4- . Water closet 3 25.02 ,.. , ,5 : ,, o CONT e l ma .. ' s m va r .. Water heater 1 37.52 Business name: S & B PLUMBING Water piping/DWV 56.29 Address: 10601 EVERGREEN HWY Other: 25.02 City /State /ZIP: VANCOUVER/WA /98664 Subtotal 50/::: Phone: (503) 545 -3601 Fax: (360) 695 -5031 Minimum permit fee: $72.50 CCB Lie.: 168129 Plumbing Lic. s : pp J U/ Plan review (25% of permit fee) State surcharge (12% of permit fee) Q, 0 4_ Authorized signatu '� TOTAL PERMIT FEE .5� Print name: JOSII KELSO Date: �i t g "1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. 1 \ Building \Permits\PLMU- PermitApp doe 10/01/09 440- 4616T(10 /02 /COM/\EB) _ q Building Division Development Code Provision Review T[ G A R D Residential Projects Building Permit No: H a ` 2v( - .000 �J CWS Service Provider Letter Received: Yes ❑ No I) N/A ❑ Routed Plans: Original Plan Submittal Date: V A /i, 1st Revision Submittal Date: ❑ Site Plan Only 2nd Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review (contact �tnS41 - � C21'w cool at 503 - 718 - YS' or/Cr /J/ -e @tigard- or .gov) Land Use Case No. S44..l3 2.4o8 -0 0023 Name 1.1 i 9h 14 rid) M i!t • pif Zoning R Er Setbacks: •E Front /5 Rear 15 Side .S Street Side I D• 5 Garage Ltt LMaximum Building Height .3S Actual Building Height 3 S D" isual Clearance Ind" Easements 1 n• s' N• S' 04 P f Ca' Sensitive Lands Type: iJ 4 . f Notes: 1 f..4na, .wj a.. 1 0. 5 ` P_thc U.+1 /d .s- .6w -C•►► tM No- 4-I prv La, _co 44.....•-4 P t t G I., Jo. ►.huT £3 c. $ r3 ,a+'. . I Te. plc ks Original Plan: Approved ❑ Not Approved Date: 4 Y' 3/// Revision 1: Approved Vri Not Approved ❑ Date: 572.Y/1/ Revision 2: Approved Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) ‘r Actual Slope: / Z otes: Original Plan: Approved Not Approved ❑ Date: 4 1: Revision 1: Approve Not Approved ❑ Date: 5 r l l J Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard - or.gov) 1I Street Trees ® Protected Trees �` "�� 4c I Notes: , C� , C� �C�+r i; "s!7 /.+ u,A fro - 114) j IO C #ti /4/ uMro,J SiJ''la'vs /1� 5 r z Original Plan: Approved — Not Approved —�/ Date: U I , II Revision 1: Approved L� Not Approved Date: / Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @ tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes ►'l No 0 4 • / /9 I" • Date Routed to Building: • • Page 2 of 2 5' PLAT: R 5 ' sI.E ELK 41 . U0, vi qk 70 ,, \ \ ly 'i ll '- ':' \'' ' ' ' ' 4. , S' n ,, , - k.. ivi, rn %/ )\ , , Ir -4411). M lYl m \\ \\\\\\\',\ ,,\„\\\,\‘ \ \ \ V ' \ \\ �\ . A _ I 3 ru v \: N 'y s \\ v> y \ \\ \. A\ y \\ I \ \V �. \y y . ' ' \ \\ ,NN I 1 .\\\\\\\‘,\\\X , . \ \ \\\ �. \\ \ \\\.\\‘\‘\ \\\ \ 5,_ 12�r2 • H �\\ \ `\\ ` \ �� \ v z ._ ,, 1 Ilk, may \v \ \ \\\ �' \y\ r ���� MO ' 011":.\.\\\ \\ �� �I[ Cl) 1 11.111 Co .v \\N‘\ \\\:\ . ,\'' �� \ \, \\ -- y \ ` ligV \\ \\ 1 \ \ : A \ \ \ �. A \. \ \ '\ �► 'pp' \\ 7 1111M11--L ' ,,,. P 11 m , , ,, ,,,,, ,,, 0 ili ,_. , m 0 ._ , ,, . ,, 20, T--- 1 I I 1 1 ,. A z _11 I O I b r° I _%, 1 � I co x sEwER rci .. 7 _ ..�I _.„ = m II r °'' ! it �PIP o al . li °2 ■ \ A Q Plans Provided By m N � � '0 O S D • Z o ADDRESS: _ CONT ACT: E� I� PO Box 1689 n n Phone — 503 - 381 -3753 N 1SS I�o1TIES LD N NW , LLC. FAX -503- 21 - 8524 Phone : (360)771 -8889 S Lake Oswego, OR 97035 E — mail : edrafting ®hotmail. . Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, (1,ti d j p 1 i-, , am the general contractor or the owner- builder at the following address: Site Address: i S • U Al P i e►t V c•.) City: L1 J Permit #: NI, S4 -1Q/)- 6 - 7. Subdivision/Lot #: � t ` �t 1c l� and/or 1. 1 _ 1 � Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918- 480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture - sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: Date: // 1111/ Gener Contracto or ner- Builder I: \ Building\ Form \RES- MoistureSensitiveWood.doc 09/25/08 Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: M 2,611 • - a 4565)N Jurisdiction: Site Address: O s u. A l P 5 Subdivision/Lot #: ; CI 1 is f 1) and/or Map and Tax Lot #: 1) • By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) Signature: �di,- o Date: Owner eneral Con Agent Print Name: A h ORSC Section N 1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I:1Building\ Forms \RES- HighEfliciencyLighting.doc 07/01/08 • • S STREET TREE TIGARD ER TIFI A T C C ION I, Avc Pei , owner / agent for Mass ; es. j- 1a.•e.:c 1 J J (PLEASE PPdN (PERMIT HOT .DER) do hereby certift that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: Ms + SI'1EADDRESS: HI 5,1) Al Cy",s4 &J4, SUBDIVISION: }4 ;5 b 14; 1: LOT -': SIGNATURE: -(9a 4 DATE: 7 / (OWNER /AGENT) RE CEIVED & q VERIFIED BY DA"1 E: I J OF TIGARD) Tree location verified per approved site plan. I: \Building \Forms \StreetTreeCertificate 04/01/2011 _